Any cirrhotic w/ NEW decompensation should undergo repeat EGD... even after a recently normal one. In Child-Pugh B/C & high risk varices, emerging evidence now supports combining NSBB w/ banding for primary prophylaxis (CAVARLY trial) #Hepatology #MedEd #MedTwitter #GITwittershow more

A high-quality colonoscopy STARTS AND ENDS with a careful... perianal exam. Sounds basic? This patient returned to colonoscopy for worsening BRBPR despite a recent normal one (only "hemorrhoids") Biopsy: Cloacogenic polyp, rare anal cancer mimic #MedTwitter #MedEd #GITwittershow more

I bet there’s a couple of New England states... smaller than this RCA distribution. (Vid used w/permission). #CardioTwitter #MedTwitter #MedEdshow more

A boy presents for physical exam. What is the... noticeable finding & possible diagnosis? GrepMed #MedEd #MedTwittershow more

🚨 Last call for Gucci, now under kill command.... Surrendered mid March b/c owner moving w/o him. Housetrained, independent, exuberant, excited, young, neutered & healthy. Earned best possible behavior rating, friendly w/ strangers, playful w/ dogs. Loves balls, bones & baths.show more

Immediately after deploying an Axios stent into 20x16cm walled... off pancreatic necrosis. Now THAT is drainage! #gitwitter #surgery #medx #medtwitter Boston Scientific Endoscopyshow more

🚨 Last call for Jenny, listed many times &... now out of chances & under kill command. Surrendered in April after just 3 months w/ her owner b/c owner is unwell. Spent time in ACC foster. Sweet, cuddly, adoptable, energetic, playful, smart, knows cues, independent, earned 2nd best behavior rating. Shy w/ strangers, friendly w/ kids. Loves tug & running.show more

Medicos situation before every exam! #MedTwitter #MedEd

Young male with fever, eosinophila, and multiple cystic lesions... of liver EUS revealed a typical tram-track sign c/w parasite in the CBD Look what popped out! #GITwitter #LiverTwitter #ERCPshow more

“DU Your Best: Duodenal Ulcer Hemostasis Tutorial” I will... go step by step through my thoughts [#] and struggle. This pt was transferred for IR embolization after re-bleeding after initial EGD (epi+clip) [#1 - Guidelines recommend repeat EGD after 1st rebleed, not IR]show more

Esophagus in a patient with advanced scleroderma. How many... changes can you spot? #gitwitter #esophagus #scleroderma #crest #medx #medtwittershow more

🚨C L A W D B O T P... R E V I E W 🚨 🔊🦞🍽️show more

Is it possible to get drum teachers for a... young adult w/ learning disabilities or is it just therapy? Even then, I can’t find any music therapists, either have to be child in school or child who attends a hospice. Any ideas? Leeds, Harrogate, York area Lost skill since videosshow more

We recently performed a successful #TAVR in a frail... 79-year-old lady weighing just 35kg, with severe aortic valve stenosis with severe left ventricular dysfunction (EF 20%) at Kauvery Hospital, Marathahalli. She did develop some rhythm issues and also had to undergo a permanent pacemaker implantation after a day. We were able to discharge her after 4 days. Prior to this, she was suffering from frequent breathing issues and heart failure, leading to multiple hospitalizations. #medtwitter TAVR (transcatheter aortic valve replacement) is an effective alternative to patients who can not undergo open heart valve replacement due to high surgical risk.show more

🤫 Something's been brewing in stealth. Our SDK team's... side project, codenamed W&B LEET, is being unleashed. We are releasing a full Terminal UI (TUI) for live, interactive W&B monitoring right in your terminal. No browser, no internet, no problem.show more

🚨 Last call for 6-month old puppy Lola, now... under kill command. Surrendered b/c owner elderly. Very friendly, wiggly & affectionate, good leash-walker. Earned 2nd best behavior rating, social & playful w/ strangers & kids, looking to be a solo pet.show more